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12682 SW DANBUSH COURT i r N 0� W N d U� x H I i _ 12682 S6V DA14BUSH COURT CITY OF T I G A R D MECHANICAL DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT #. . . . . . . : M E C9 9 01 DATE ISSUED: 03/24/99 PARCEL: IS133DD--0710kl SITE ADDRESS. . . : 1i-1682' SW DANBUSH CT SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK ZONING: R-4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 1 10 JURISDICTION: TIG CI-ASS OF WORK. . :ALT FLOOR TURN. . . . : 0 EVAP COJLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . : R2, VENTS W/O APPL.: 0 VENT SYSTEMS: 0 T 0 R I E S. . . . . . . . 0 BOILERS/COMPRESSORS HOODS. — . . . . : 0 FUEL TYPES-- 0-3 HP. . . . : 0 DOMES. INCIIia: 0 :GAS 3-1.5 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15--30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSToVES. . : 0 GAS PRESSURE. . . 7-'0+ HP. . . . - 0 CLO DRYERS. . : 0 NO. OF rA.1 HANDL I NG UNITS OTHER UNITS. : I FURN ( 100K BTU: 0 1,0000 cfm: 0 GAS OUTLETS. : 1 FURN ) =100K BTU: 0 > 10000 c-Fm : 0 Remarks : Fireplace insert and qas piping. Owner: FEES JANICE EBNER type amoi-int by date t-eept 12682 SW DANDUSH C1 PRMI $ 25. 00 B 03/24/99 99-313940 . ----:313940 TIGARD OR 97223 FJ11 $ 1,215 B 03/24/9? 99 Phone #: Contractor: HOLMES INSTALLATION SERVICE PAYMOND FLANDERS -------------- ----------------------- -- 33535 NW VADIS ROAD 26. 25 TOTAL CORNELIUS OR 97113 P1 hone #: 647-9320 Reg #. 00102.4 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Gas !.ane Insp Tigard Municipa) Code. State of Grp. Specialty Codes and all other Final In:pection applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started ----------- within 180 days of issuance, or if work is suspended for gore than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the O"gon Utilif-i Notification Center. Those rules are set forth in DAR 952-01-FAII through OAR 95?-88I-8890. You may obtain copies of these rules or direct questions to OW by call4ng (503)246-9187. Tssi-te By - Per-mittee Signati-It-ej) 4-+++++4........................4 s-+-+++4.................4........................... Call 639-4175 by 7:00 p. m. for, inspections needed the next bl.ts ;ness day 4++++-+++++++++++++•1-++++4-++..................4...1-++++++++++++++++++++•++++•+-t++ CITY OF TIGARD Mechanical Permit Application Plan Check* Recd By 13125 5W HALL BLVD. Commercial and Residential Rete Recd�- _ TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 Date to DST Print or Type PermittfMfrjF T( t 77 __ _ Iiiicomplete or illegible applications will not be accepted Called Name of Developme t/Proiect ErabIle tion - — - 1l� A Mechanical Code Qty Price Amt .lob Street Address SuiteN I A) Permit Fee _ 1 10.00 Addrass b� C 1) Furnace to 100,000 BTU includin ducts&vents _sed footnote 1,2 6.00 B dgM C y/5tate Zip 2) Furnace 100,000 BTU+ UI QcA CM 7 3 Including ducts&vents s_oe footnote 1,2 7.50 Name(or name of business) 3) Floor Furnace Owner ",l�_ including vent see footnote 1,2 6.00 ailing'Address 4) Susp9nded heater,wall heater or floor mounted heater see footnnte 1,2 6.00_ 5) Vent not included if,appliance permit CHy/State Tlp Phone 3.00 - - ( Check ali that apply 'Boller Heat Air — Norm(or nameof business) `— For Items 6-10,see or Pump Cond qty Price .Amt footnotes 1,2 Com 6)<3HP;absorb unit to Occupant M dlinpAddress 100K BTU 6.00 _ 7)3-15 HP;absorb unit ty/state. Zip Phone 100k to 500k BTU 11 00 8)15-30 HP;absorb --— Name unit.5-1 mil BTU 15.00 Contractor 9)30-50 HP;absorb L / C j C e unit 1.1.75 mil BTU 22.50 Prior to permit Mailing' dress 10)>50HP;absorb unit issuance,a copy (1/i✓ >1.75 mil BTU 1 57_.50 of all licenses Hy/State Zip Phone 11)Air handling unit to 10,000 CFM are required d e-u,(ue/, WS U1,9r 4.50 expired in COT oesg'on Const Cont Board Llc.M cep.Dale 12)Air handling unit 10,000 CFM+ _ _odtabase ) 7.50 Architect` Narne — 13)Non-portable evaporate cooler 4.50 or Meiling Address 14)Vent fan connected to a single duct 3.00 15)Ventilation system not Included in Engineer Cny/state Zip Phone - appliance permit4.50 16)Hood served by mechanical exhaust Describe work to be dare: - 4.50 17)Domestic Incinerators New O Repair Q Replace with like kind Yes^ No O _ 7.50 Resldentia;jQ Commercial O 18)Commercial or industrial type incinerator 30.00 Additional Information or description of work - 19)Repair un"s - 20)Wood stove 4.50 NOTE: For Commercial projects only;Units over 400 lbs.require _ 4.50 structural gas calks. 21)Clothes dryer,etc. Type of fuel oil O natural gas(X LPG O electric O 4.50 22)Other units -- I hereby acknowledge that I have read this application,that the information (V 1'� I 4.50 given Is correct,that I am the owner or authorized agent of 23)Oas piping one to fbur outlets the owner,the!plans submitted are in compliance with Oregon State laws. See footnote 1 2.00 24)More than 4-per outlet(each) Signature of Owner/Agent Date— — 50 3 z4 _._ Minimum Permit Fee 125.00 SUBTOTAL 21S Contact Person Nathe Phone f foZ7'7_��1 C -_. __-__ 5%SURCHARGE PLAN REVIEW 25%!'; -UBTOTAL Foonotes for commore lal projects only: _ Re ulq red for ALL commercial permits only 1. Provide full schematic of existing and proposed gas line and pressure TOTAL 2. Provide drawings to scale showing existing and proposed mechanical unfts_ —_ _�— •State Contractor Boiler Certification required - -Residential A/C requires site plan showing placement of unit I:Yrecli doc rev 02/4/99 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST -------- F3UP _Date Requested._ ��2 S' �� AM —_PM _`_ BLD Location 1 1�y�Z V��u'1 1�1,CS�- C^s�f Suite _ MFC Contact Person my; 5�,�,{/��/L, . Ph FLM Contractor—_ Ph SWR BUILDING -� Tenant/Owner _ i ELC Retaining Wall Footing Access: ELR -- Foundation FPS Fly Drain _ Crawl Drain Inspection Notes: SGN Slab Post& Beam - ------ ----- - ------- -- SIT ---- - Ext Sheath/Shear Int Sheath/Shear ----- - Framing -- -- --- Insulation --- Drywall Nailing Firewall =- ------ --___ -- Fire Sprinkler - - - -- Fire Alarm � --- Susp'd Ceiling Roof / - -- Misc - Final - --�--- - PASS PART FAIL - _--?z PLUMBING ` Post& Beam - --- -- __ Under Slab Top Out - ---------- Water Service Sanitary Sewer -- Rain Drains Final PASS PART FAIL ECHANIC . Post eam - - - - - - -- Rough In Smoke Darpers $ASS � PART FAIL ELECTRICAL - ---- Service - I Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE ---- - Backfill/Grading - - - -- Sanitary Sewer Storm Drain ( )Reinspection fee of$ required before next inspe,:Uon. Pay at City Hall, 13125 SW Had Blvd Catch Basin Fire Supply Line [ )Please call for reinspection RE:_ ( ]Unable to inspect no access ADA Approach/Sidewalk Other Date 2 Inspector Extva- Final - - - r PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639.4175 Business Line: 639-4171 MST _ — // _ __Date Requested ->V �(�l/ _AMBIJP _ Pm - BLD Location____ l 2(� �.. ("ba S1/L, C4—Suite __ — MEr. — Contact Person f'tr 41 d S -Ph '2 ��1 CLPLM Contractor Ph SWR BUILDING Tenant/Owner _ ELC Z--]L� Retaining Wall ELR _ Footing Access: Foundation FPS Ftg Drain L% ,r-I" �"L•t ° L� _ _ Crawl Drain Inspection Notes: SGN _— Slab Past 8 Beam - — 1 v_ 0 ----------- SIT -- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler - -- : ._----._�_.._.— Lf Fire Alarm / -- Susp'd Ceilir g Roof Misc Final PASS PART FAIL -- -- PLUMBING Past& Beam - - - ------ Under Slab Top Out - - -- -- �— r-- -- - - — Water Service Sanitary Sewer ----- Pain Drains Final - PASS PART FAIL MECHANICAL Post& Beam Rough In Gas Line --- - Smoke Dampers Final - - PASS PART FAIL ;LEC�T�:I(W e - Rough In -- -- UG/Slab Low Voltage - Fire A IIPASS,�/PART FAIL - _.------ Backfill/Grading -- --� ---- Sanitary Sewer Storm Drain ( j Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply line [ j Pleise call for reinspection RE' _ -- _ _ [ ] Unable to inspect- no access ADA Approach/Sidewalk (1 Other �te — [rl _inSpP,CtOr "C'�---EXt -- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ti